A Vision Becomes Reality is the story of how a Seventh-day Adventist educational institution, West Indies College (now Northern Caribbean University) in Mandeville, Jamaica, collaborated with a Seventh-day Adventist health care institution, Andrews Memorial Hospital in Kingston, Jamaica, to develop and implement the Department of Nursing Education and the first baccalaureate nursing programme in Jamaica. This is the first time the early history of this endeavour has been published.

Many individuals provided information on the history of this landmark programme in Jamaica. Without the help of the numerous people involved in the story of the college, hospital, and baccalaureate nursing programme, this account would not have been possible.

It is the authors' hope that the content will provide information on the early history of Seventh-day Adventist higher education and medical work in Jamaica as well as provide a blueprint of the process used in developing what is now Northern Caribbean University Department of Nursing and its baccalaureate nursing programme as it reaches its fiftieth anniversary in 2020.

� propos des auteurs

Karen J. Radke is a nurse, physiologist, educator, researcher, author, and administrator. She was acting chairman, West Indies College Department of Nursing Education (now Northern Caribbean University Department of Nursing) in Jamaica from 1972 to1973. Her degrees in nursing are from Loma Linda University (BSc), Boston University (MSc), and Texas Woman's University (MSc-Family Nurse Clinician). After working as a public health nurse and nurse practitioner, Radke earned a PhD in physiology from Indiana University School of Medicine and then did a research fellowship in the College of Medicine, University of Tennessee Health Science Center, Memphis. Radke taught in schools of nursing and medicine for twenty-five years. Besides teaching, Radke conducted research on hormones that influence renal function and blood pressure at the University of Rochester, New York. She presented her work at scientific conferences and has been published in scholarly journals. Later, Radke was associate dean for academic affairs, director of graduate studies, and professor, University at Buffalo School of Nursing, The State University of New York. She has garnered several honours and awards. Dr. Radke is retired.

Heather Faith Fletcher was appointed director of the Department of Nursing at Northern Caribbean University, Jamaica, in 2014 and served in this capacity for the next five years. Previously, she was director from 2001 to 2008 after serving as acting director for two years. She has taught for more than twenty-six years at Northern Caribbean University. Fletcher is a graduate of West Indies College (now Northern Caribbean University) with a bachelor of science degree in nursing and is a registered nurse. She is also a graduate of Loma Linda University having earned a master of science degree in nursing with a focus on gerontology and nursing education as well as a PhD in nursing with emphasis on geriatric health promotion. Dr. Fletcher's research is on caregiver burden, health literacy, and self-care in older adults. For the last twenty years she has given many national and international presentations on geriatric issues. Furthermore, she has published articles in academic and professional journals, magazines, and The Gleaner, a major Jamaican newspaper. Fletcher is the recipient of several accolades. To name a few, she was inducted into The Honor Society of Nursing, Sigma Theta Tau International. She has received awards for excellence in teaching and in administration from Northern Caribbean University. Fletcher provides professional services to the Nursing Council of Jamaica, the Jamaica Ministry of Health, and organizations that relate to the welfare of older adults, the vulnerable, and the poor. She also contributes to nation building in her capacity as a consultant and mentor.

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